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Palliative Pain and Symptom Management Consultant

Palliative Pain and Symptom Management Consultant (PPSMC) What is the PPSMC program? As the Palliative Pain and Symptom Management Consultant (PPSMC) for the Sudbury, Manitoulin, and Espanola regions;...
http://www.lignesantenord-est.ca/pdfs/PPMSC-BN%20for%20Providers.docx

Alzheimer Society Sud-NB.pdf

Date of Referral:...Family dynamics Infectious diseases Infestation/Squalor Pets Physical Environment...Recent hospitalizations Responsive behaviours Smoking Weapons Other:...Person with Dementia Name...
http://www.lignesantenord-est.ca/pdfs/Alzheimer%20Society%20Sud-NB.pdf

Universal Home Care Referral Form.doc

HCare...Referral Form ...To refer a client to Universal Home Care, please complete the information below and fax this form to: ...FAX: 1-705-523-9165 ...UHC will contact the client to provide information...
http://www.lignesantenord-est.ca/pdfs/Universal%20Home%20Care%20Referral%20Form.doc

Client Referral Form

NEAR NORTH PALLIATIVE CARE NETWORK 2025 Main Street West, North Bay, ON, P1B 2X6 Phone: 705-497-9239 1-800-287-9441 Fax: 705-497-1039 Sturgeon Falls: 705-753-3110 ext. 339 E-mail: office@nnpcn.com...
http://www.lignesantenord-est.ca/pdfs/03%20-%20Referral%20Form%20-%20Palliative%20Care.docx

Sudbury Specialized Palliative Care Team Referral.pdf

Richards, Mark...V5.1 January 2025...For MAID request please contact Ontario MAID Care Coordination Service: 1-866-286-4023...For HSN PCU Bed requests please call 705-675-4755...SUDBURY SPECIALIZED...
http://www.lignesantenord-est.ca/pdfs/Sudbury%20Specialized%20Palliative%20Care%20Team%20Referral.pdf

Palliative Symptom Relief Kit Prescriber Order Form - Sudbury.pdf

Bourque, Lynne...PALLIATIVE SYMPTOM RELIEF KIT...PRESCRIBER ORDER FORM...SUDBURY...Version 4 (08/04/2025) Page 1 of 1...Name: HCN:...DOB (DD/MM/YYYY): Allergies:...Address:...Telephone #: (705)...For...
http://www.lignesantenord-est.ca/pdfs/Palliative%20Symptom%20Relief%20Kit%20Prescriber%20Order%20Form%20-%20Sudbury.pdf

Referral for Services

Ferguson, Natalie...REFERRAL FOR SERVICES...Fax to:...Kirkland Lake North Bay Parry Sound Sault Ste. ...Marie Sudbury Timmins...705 567 9407 705 474 0080 1 855 773 4056 705 949 1663 705 522 3855 705 267...
http://www.lignesantenord-est.ca/pdfs/NE-Referral-for-Services-EN.pdf